The Colonial Coin Collectors Club

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C4 Renewal Period

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C4 Application Form
(required for New members only)

(for convenience, print out a hard copy to submit with your payment)





I hereby apply for membership in the Colonial Coin Collectors Club.

Enclosed is $_____ in payment for dues.

Membership type:

____Regular $25.00 ($26.00/year if paying with PayPal)

____Junior (under 18 years of age) $10.00

Collecting interests:____________________________________________


How did you learn about C4?______________________________________


Send check made payable to Colonial Coin Collectors Club or C4 to:

Charlie Rohrer (
C4 Treasurer
PO Box 25
Mountville, PA 17554

Or use PayNow (PayPal) button on this page to pay instantly. To use PayPal you must already have a PayPal account.


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